Individual provider Active NPI

Lydia M Burgos

  • Clinical Social Worker
  • Ponce, PR
National Provider Identifier
1023865797
Registry record updated Jan 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16273 Issued in PR
Practice address
Urb. Las Monjitas 344 Calle Novicia
Ponce, PR 00730-3910
Phone
(787) 503-8280
NPI assigned
May 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16273 PR Primary

Addresses

Primary practice location

Urb. Las Monjitas 344 Calle Novicia
Ponce, PR 00730-3910

Mailing address

Brisas del Laurel 717 Los Robles
Coto Laurel, PR 00780-2217
Phone (787) 503-8280

Other practice location 1

1607 Ave Ponce De Leon Ste 308
San Juan, PR 00909-1815
Phone (787) 503-8280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250731001792 PR Practitioner - Clinical Social Worker 7517475767 Practice locations: Ponce, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16273PRMDAnesthesiology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769817600000",
    "number": "1023865797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BRISAS DEL LAUREL 717 LOS ROBLES",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802217",
            "telephone_number": "787-503-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. LAS MONJITAS 344 CALLE NOVICIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303910",
            "telephone_number": "787-503-8280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1607 Ave Ponce De Leon Ste 308",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009091815",
            "country_code": "US",
            "telephone_number": "787-503-8280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGOS",
        "first_name": "LYDIA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-01",
        "last_updated": "2026-01-31",
        "certification_date": "2026-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "16273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.